Contract Management & Revenue Integrity Specialist

About the Company

Nira Medical is a national partnership of physician-led, patient-centered independent practices committed to driving the future of neurological care. Founded by neurologists, Nira supports practices with cutting-edge technology, clinical research opportunities, and a collaborative care network.

Responsibilities

• Lead new payer contract negotiations from initial outreach through execution
• Establish and maintain fee schedules and contracted rates for professional, drug, and ancillary services
• Maintain and audit payer allowable tables within Athena and other relevant systems
• Identify and resolve payment variances resulting from mismatched allowables
• Serve as the primary point of contact for payer inquiries regarding contract pricing
• Generate reporting on contract performance, allowable schedules, and out-of-network activity
• Conduct out-of-network analyses to evaluate financial exposu...